| NPI | 1700998614 |
|---|---|
| Doing Business As | GIBSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN AUSTIN BURTIS Owner 972-579-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 11854) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-13 |